定义癌前症:这是癌症社区面临的重大挑战
Jessica Faupel-Badger1, Indu Kohaar1, Manisha Bahl2
1Division of Cancer Prevention, National Cancer Institute, NIH, Rockville, MD, USA.
Nature reviews. Cancer
|October 1, 2024
概括
定义癌前期,一个早期的瘤阶段,具有分子和表型变化,仍然具有挑战性. 这项工作提出了一个使用分子,病理,临床和流行病学标准的框架,以改善早期检测和干预机会.
科学领域:
- 在瘤学瘤学.
- 病理学 病理学 病理学
- 分子生物学分子生物学
背景情况:
- 癌前细胞表现出分子和表型变化,使其与正常和侵入性癌细胞区别开来.
- 目前关于癌前症的定义缺乏一致的分子和病理学标准,这给研究和临床实践带来了挑战.
- "癌症的特征"为恶性转变提供了一个框架,但它们对癌症前期的应用还不清楚.
研究的目的:
- 建立一个概念框架来定义前癌症.
- 为了整合分子,病理学,临床和流行病学标准的癌前定义.
- 推进对早期瘤变化的理解,并确定及时干预的机会.
主要方法:
- 对前癌症现有文献的审查和综合.
- 开发一个多标准的概念框架.
- 基于综合标准的专家建议.
主要成果:
- 为定义癌前期的概念框架提出了一个建议的起点.
- 将分子,病理,临床和流行病学因素纳入定义.
- 强调在最早,最可治疗的阶段识别癌前症.
结论:
- 对癌症前期的明确定义对于推进早期癌症检测和预防策略至关重要.
- 拟议的框架为一致识别和研究前癌症提供了基础.
- 需要进一步的研究和共识来完善和在临床和研究环境中实施这一定义.
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